There is a range of male fertility treatment options, depending on how severe the issue is.
Intrauterine insemination (IUI) may be enough to achieve conception when there are mild decreases in sperm number or motility. IUI is often coupled with ovarian stimulation to increase the number of eggs released, increasing the chances of successful conception in that month. As with other fertility treatments, pregnancy rates with IUI depend on the age of the female partner as well as the severity of the sperm problem.
When there is a severe abnormality in sperm concentration, motility or shape, IVF with Intracytoplasmic Sperm Injection (ICSI, pronounced “ICK-see”) is the best male fertility treatment. ICSI is a laboratory technique by which a single sperm is injected directly into an egg retrieved during an IVF cycle. Fertilization rates with ICSI are approximately 70% to 90%, regardless of how severe the sperm defects are—rates comparable to standard fertilization with normal sperm. Pregnancy rates in IVF cycles with ICSI are equivalent to standard IVF cycles without ICSI. We recommend ICSI in the following situations:
- Males with severe sperm abnormalities
- Men with blockage or absence of the vas deferens (either acquired or congenital) and that require sperm to be removed directly from the testicle or epididymis
- Couples who have had low or failed fertilization in a prior IVF cycle without ICSI
In addition, ICSI is often used in cases where the man has never fathered a pregnancy, or when very few eggs are obtained at retrieval.
Male Fertility Specialist
We generally refer patients with moderate to severe male factor infertility to a urologist who specializes in male fertility. We work closely with several urologists in the area who are able to perform a complete and thorough evaluation in order to determine if there is an anatomic, genetic or hormonal cause of the problem. Occasionally surgery is recommended as male fertility treatment either to repair the defect and/or to remove sperm directly from the epididymis or testicle; the urologist will make the recommendations for these procedures and perform them if need be.
In cases where no normal sperm can be obtained by any means, donor sperm can be used either in IUI or IVF cycles. There are many sperm banks to choose from, both in Southern California and outside the region, and we are happy to provide referrals.
11915 La Grange Avenue
Los Angeles, CA 90025
p: 866.927.9622 or 310.443.5244
3015 Williams Drive, Suite 110
Fairfax, VA 22031
p: 800.338.8407 or 703.698.3976
3015 Williams Drive Suite 110
Fairfax, Virginia 22031
p: 800.466.2796 or 651.489.8000
Xytex Cryo International
1100 Emmett Street
Augusta Georgia 30904-5826
Sperm Bank, Inc.
12791 Newport Avenue, Suite 206
Tustin, CA 92780
8211 Remmet Ave.
Canoga Park, CA 91304
(800) 255-7242 (U.S. and Canada Only)
(818) 251-3831 (Fax)
508 West 6th, Suite #801
Spokane, WA 99204
Schedule a Consultation
Take the first step toward parenthood and schedule a consultation with one of our highly trained fertility specialists. Drs. Koopersmith and Landay are available to answer any question you may have and help you achieve your dream of having a healthy baby. Follow this link to fill out a short contact form and we will be in touch with you shortly to schedule a consultation. We look forward seeing you soon.